Clinical Study Of Artificial Dermis Combined With Autologous Thin Skin Graft For Repairing Soft Tissus Wounds At Ioints

Objective: To investigate the artificial dermis combined withautologous skin graft in the body joints dermal wounds efficacy andprognosisMethods: There were25cases collected from2008to2013usingartificial dermis composite autologous skin graft repair articular wounds,including10cases of wound knee,5cases covering the ankle,4casescovering the elbow,2cases covering the wrist,3cases knuckles,1casebetween the axillary. Observed skin graft survival after surgery, scarformation after3months the extent and functional recovery.Results: In the use of artificial dermis composite18patients that afterthe first surgery through the timely removal of pus, dermal tissue to form agood.3patients under artificial dermis were infected, but through theclean dressing change and drainage of pus, the dermal tissue can be formedagain.2patients with severe infection, surgical debridement through againand replace the artificial dermis, to achieve the same effect. Two skin grafting,. The autologous skin alive well, and two patients wound area issmall, with striping artificial dermis film, the wound covered by thesurrounding normal epithelium, healed by themselves. Skin graft survivedwell and after3months follow-up results in patients with good recovery offunction. No obvious scar and scar contracture formation.Conclusion: Artificial dermis composite autologous skin graft therapycan not only improve the autologous skin graft survival but reduces thedegree of scar contracture of joints and the long-term recovery of function,and it provides effective treatment programs.